MR. Ryan Douglas Archibald, STUDENT/INTERN
NPI #1063718385 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1063718385
- Entity Type
- Individual
- Name
- MR. Ryan Douglas Archibald, STUDENT/INTERN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- STUDENT/INTERN
- Enumeration Date
- Feb 3, 2011
- Last Updated
- Feb 3, 2011
Practice Location
- Address
- 2043 COLLEGE WAY
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-1756
- Phone
- (503) 352-2202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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